Conditions managed

Dr Perram sees patients across the spectrum of haematological presentations, from mild cytopenias to malignant disease. Below are some of the conditions managed in her clinic. If you are concerned about an issue not listed here, please feel free to refer through for an opinion or call to discuss the case with Dr Perram.

    • Neutropenia, anaemia or thrombocytopenia

    • Significant lymphopenia

    • Inflammatory symptoms with cytopenia/s

    • Thrombocytosis

    • Polycythaemia

    • Lymphocytosis

    • Eosinophilia

    • Isolated paraprotein for investigation

    • Abnormal free light chains or ratio

    • B symptoms: weight loss, night sweats, infections, fatigue

    • Unexplained pruritis

    • Unexplained/unresponsive rashes

Diagnostic haematology

    • Hodgkin Lymphoma

    • Non-Hodgkin’s lymphoma - such as Follicular Lymphoma, Diffuse Large B Cell Lymphoma (DLBCL), Marginal Zone Lymphoma, MALT, Mantle Cell Lymphoma

    • T cell lymphomas

    • Chronic Lymphocytic leukaemia (CLL and SLL)

    • Some Acute Myeloid Leukaemia (AML), primarily in older patients

    • Multiple myeloma

    • MGUS (monoclonal gammopathy)

    • AL amyloidosis

    • Other plasma cell diseases

    • Myelodysplastic syndrome

    • Chronic myelomonocytic leukaemia (CMML)

    • Polycythaemia vera (PV)

    • Essential thrombocythaemia (ET)

    • Myelofibrosis (MF)

    • Chronic myeloid leukaemia (CML)

    • At St Vincent’s Private Hospital

    • Most common indications: Myeloma, or Lymphoma

Malignant haematology

    • DVT and PE

    • Antiphospholipid syndrome

    • Factor V Leiden and Prothrombin gene mutations

    • Von Willebrand disease

    • Assessment and management of iron deficiency

    • Haemochromatosis

    • Haemoglobinopathies including thalassaemia

Non-malignant haematology